Provider Demographics
NPI:1306173695
Name:HZ FOODTOWN PHARMACY INC
Entity type:Organization
Organization Name:HZ FOODTOWN PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-484-9640
Mailing Address - Street 1:1400 AVENUE Z STE 405
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3837
Mailing Address - Country:US
Mailing Address - Phone:718-484-9640
Mailing Address - Fax:718-484-9644
Practice Address - Street 1:3120 STATE ROUTE 35
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1520
Practice Address - Country:US
Practice Address - Phone:732-739-3320
Practice Address - Fax:732-739-3322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00698003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3196474OtherNCPDP PROVIDER IDENTIFICATION NUMBER